Pustka, Rick

Pustka, Rick is an individual health care provider with primary practice located at 2610 N Woodlawn Blvd , Wichita KS 67220-2729. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Pustka, Rick can be contacted via phone (316) 858-2601.

Contact Information

Primary practice address
2610 N Woodlawn Blvd Wichita KS 67220-2729
Phone: (316) 858-2601
Fax: (316) 858-2793
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1500950 Kansas

Profile Details

NPI number 1124088703
LBN Legal business name Pustka, Rick
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Apr 28th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124088703 NPPES
Kansas MEDICAID 200260850A

Popular Providers